NPIMap

Individual provider Active NPI

Mark J Doerr, MD

  • Urology Physician
  • Orchard Park, NY
National Provider Identifier
1477560738
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
48602 Issued in MN
Practice address
500 Sterling Dr
Orchard Park, NY 14127-1573
Phone
(716) 677-2273
Fax
(716) 677-2256
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 48602 MN Primary

Addresses

Primary practice location

500 Sterling Dr
Orchard Park, NY 14127-1573

Mailing address

500 Sterling Dr
Orchard Park, NY 14127-1573
Phone (716) 677-2273

Other identifiers 2

IdentifierTypeStateIssuer
P00427425OtherMNRAILROAD MEDICARE
986918000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000669 NY Practitioner - Urology 4880698372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Cincinnati College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Physician PCGroup PAC ID 9133434269, 65 clinicians

Practice addresses (Care Compare)

500 Sterling Dr
Orchard Park, NY 14127-1573
Phone (716) 677-2273

Hospital & facility affiliations

  • Wyoming County Hospital, Warsaw, NY, CCN 331323
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Merit-based Incentive Payment System (MIPS)

Final score
75.58 of 100Reported as group
Quality
39.81
Promoting interoperability
88
Improvement activities
40
Cost
83.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Road Ambulatory Surgery Center LLC CurrentSince Oct 10, 2023 Accepting new patients
Great Lakes Physician, PC Urology Current Accepting new patients
Great Lakes Physician, PC Urology CurrentSince Jul 13, 2015 Accepting new patients

Locations

726 Exchange St
Ste 200
Buffalo, NY 14210

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 300
Cheektowaga, NY 14225
Phone (716) 422-5422

3085 Harlem Rd
Ste 350
Cheektowaga, NY 14225
Phone (716) 844-5000

500 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-2273

408 N Main St
Ste 2
Warsaw, NY 14569

408 N Main St
Warsaw, NY 14569
Phone (585) 786-2090

Interoperability endpoints

  • Direct secure messaging: mdoerr@qualitycare.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1477560738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STERLING DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271573",
            "telephone_number": "716-677-2273",
            "fax_number": "716-677-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STERLING DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271573",
            "telephone_number": "716-677-2273",
            "fax_number": "716-677-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "48602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00427425",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986918000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.